go back

Pennsylvania rates for HCPCS 40806

Incision of labial frenum (frenotomy)

Facilitymedian $2,570 · 10th–90th $162$8,3180%5%10%10th90th$2,570Professionalmedian $91 · 10th–90th $28$1780%10%20%10th90th$91$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $91.20 / $165.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $138.04 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $95.50 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $173.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $107.15 / $177.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $812.83 / $2,511.89
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,819.70 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $91.20 / $199.53
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $181.97 / $275.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $144.54 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $75.86 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $1,202.26 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $66.07 / $154.88